The South Asian Health Foundation (UK) guidelines for managing diabetes during Ramadan

Hanif, Wasim; Patel, Vinod; Ali, Samina; Karamat, Ali; Saeed, Mujahid; Hassanein, Mohamed; Syed, Mohamed Ahmed; Chowdhury, TA; Farooqi, Abida; Khunti, Kamlesh

doi:10.1016/j.diabres.2020.108145

Cited by 16 publications

(26 citation statements)

References 84 publications

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“…Accordingly, most of the population is familiar with fasting in Ramadan. However, not all Muslims and HCPs are knowledgeable regarding the pathophysiology of fasting and diabetes (Ahmedani et al, 2016;Gaborit et al, 2011;Hanif et al, 2020).…”

Section: Knowledge Attitude and Perspective Of Ramadan Fastingmentioning

confidence: 99%

Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Sugiharto

Natalya

Otok

2021

Nurs. Med. J. Nursing

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Background: Evidence shows that most general practitioners have low knowledge related to diabetes self-management during Ramadan fasting. However, studies on healthcare providers’ competencies related to diabetes self-management during Ramadan fasting are still rare.Purpose: This study aimed to investigate healthcare providers’ knowledge, attitude, and perspective concerning diabetes self-management during Ramadan fasting.Methods: The study applied a cross-sectional design and was conducted in forty-one (41) community health centers in Pekalongan, Central Java, Indonesia. The study participants were medical doctors, nurses, nutritionists, pharmacists, and public health officers. The total sampling technique was used. There were 205 healthcare providers who met the inclusion criteria. Their knowledge, attitude, and perspective were assessed using a questionnaire developed by Zainudin and Hussain. The Wilcoxon test was used to analyze the data. Results: The healthcare providers’ knowledge of Ramadan fasting was very low (36.79±26.11). More than half of the respondents (53.17%) advised diabetic patients to manage diabetes in general, although specific counseling for diabetic patients related to fasting in Ramadan month was not provided (55.12%). The perspective of Ramadan fasting among healthcare providers was moderate (62.68%±30.40). The results also showed that general and safe practice knowledge significantly affected the healthcare providers’ perspective toward Ramadan fasting (Z=-12.49, p=0.000), (Z=-12.02, p=0.000), respectively. Conclusion: Healthcare providers’ knowledge and attitude concerning diabetes self-management during Ramadan fasting were low. Accordingly, this affected their perspective. It is strongly recommended that a formal Ramadan fasting management training program should be given regularly to provide appropriate consultations and services.

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Section: Knowledge Attitude and Perspective Of Ramadan Fastingmentioning

confidence: 99%

Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Sugiharto

Natalya

Otok

2021

Nurs. Med. J. Nursing

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“…The South Asian Health Foundation has recently published the risk stratification for people with diabetes intending to fast during Ramadan [4]. As a result of the COVID-19 pandemic, additional risk factors should be considered when assessing an individual's risk of complications during fasting.…”

Section: Risk Quantification and Stratificationmentioning

confidence: 99%

“…However, it is vital, for healthcare professionals to be equipped to specifically counsel people with diabetes on ensuring appropriate food and fluid intake, monitoring of blood glucose and awareness of when to break their fast if necessary. The South Asian Health Foundation has recently published guidelines for healthcare professionals regarding the management of people with diabetes who wish to fast for Ramadan, based on current evidence [4]. However, there is a need to update the advice on how best to support people with diabetes who intent to fast during Ramadan, in the midst of the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Managing People with Diabetes Fasting for Ramadan During the COVID‐19 Pandemic: A South Asian Health Foundation Update

et al. 2020

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The month of Ramadan forms one of the five pillars of the Muslim faith. Adult Muslims are obligated to keep daily fasts from dawn to sunset, with exceptions. This year Ramadan is due to begin on 23 April 2020 and the longest fast in the UK will be approximately 18 hours in length. In addition, due to the often high-calorie meals eaten to break the fast, Ramadan should be seen as a cycle of fasting and feasting. Ramadan fasting can impact those with diabetes, increasing the risk of hypoglycaemia, hyperglycaemia and dehydration. This year, Ramadan will occur during the global COVID-19 pandemic. Reports show that diabetes appears to be a risk factor for more severe disease with COVID-19. In addition, the UK experience has shown diabetes and COVID-19 is associated with dehydration, starvation ketosis, diabetic ketoacidosis and hyperosmolar hyperglycaemic state. This makes fasting in Ramadan particularly challenging for those Muslims with diabetes. Here, we discuss the implications of fasting in Ramadan during the COVID-19 pandemic and make recommendations for those with diabetes who wish to fast.

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“…as they risk dehydration, hypo-or hyperglycaemia and, if severe, potential physiological decompensation [6]. There are a number of evidence-based and very recent independent, national and international guidelines on the management of diabetes during Ramadan [7][8][9]. The present COVID-19 epidemic represents an additional concern for Muslim people with diabetes wishing to fast.…”

mentioning

confidence: 99%

“…All guidelines suggest that people with diabetes who plan to fast should discuss their plan with a healthcare professional who can guide them on their risk [7][8][9]. Risk stratification is the cornerstone of advice for people with diabetes, and is based on their co-morbidities, current level of glucose control, and risk of adverse events.…”

mentioning

confidence: 99%

COVID-19, Diabetes and Ramadan

et al. 2020

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The South Asian Health Foundation (UK) guidelines for managing diabetes during Ramadan

Cited by 16 publications

References 84 publications

Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Healthcare Providers’ Knowledge, Attitude, and Perspective regarding Diabetes Self-Management during Ramadan Fasting: A Cross-Sectional Study

Managing People with Diabetes Fasting for Ramadan During the COVID‐19 Pandemic: A South Asian Health Foundation Update

COVID-19, Diabetes and Ramadan

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